
PROFESSIONAL SUMMARY
Detail‑oriented Medical Billing & Coding professional with a strong background in patient documentation, insurance navigation, claims support, and customer service. Fluent in Spanish, with the ability to communicate effectively with diverse patient populations. Skilled in ICD/CPT familiarity, HIPAA compliance, data accuracy, and resolving billing‑related inquiries. Currently advancing billing and coding expertise through formal training at Southern Careers Institute. Known for precision, professionalism, and supporting efficient revenue cycle operations in fast‑paced healthcare environments.
Assisted members with billing questions, premium payments, and account updates.
Explained insurance benefits, coverage details, and claims status.
Resolved complex billing and coverage issues by coordinating with internal teams.
Documented all member interactions with accuracy to support claims processing.
Identified account discrepancies and ensured timely corrections. Communicated with Spanish‑speaking members to ensure understanding and satisfaction.
Maintained accurate patient records, including diagnoses, treatment notes, and prescriptions.Verified insurance information and processed patient payments.
Obtained prior authorizations for medications, procedures, and treatments.
Supported coding‑related tasks by ensuring documentation completeness.
Managed scheduling, chart updates, and patient communication.
Ensured compliance with HIPAA and clinic documentation standards.
Assisted Spanish‑speaking patients with forms, instructions, and care questions.
Provided high‑volume call support with strong accuracy and attention to detail.
Resolved billing issues and processed account adjustments.
Delivered professional service to customers with complex account concerns.
Strengthened communication and problem‑solving skills applicable to billing roles.
Supported Spanish‑speaking customers with account and service needs.
Reviewed medical records for accuracy and compliance with documentation standards.
Drafted medical waiver letters and ensured proper regulatory documentation.
Maintained strict confidentiality in accordance with HIPAA.
Medical Billing & Coding (ICD/CPT familiarity)
Insurance Verification & Authorizations
Claims Support & Issue Resolution
Patient Documentation Accuracy
HIPAA Compliance
Data Entry & Information Security
Medical Terminology
Spanish Fluency (Bilingual: English/Spanish)
Customer & Patient Communication
Scheduling & Administrative Support
Report Generation
Inbound/Outbound Communication
Certified Clinical Medical Assistant